Snezhana Mullokandov, is a medicare enrolled "Obstetrics & Gynecology" physician in Roosevelt, New York. Her current practice location is
380 Nassau Rd, Long Island Fqhc, Inc., Roosevelt, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 571-8600.
Snezhana Mullokandov is licensed to practice in New York (license number 242796) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972635753.
Physician's Profile
| Full Name | Snezhana Mullokandov |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 380 Nassau Rd, Roosevelt, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972635753
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 04/04/2014
Medicare PECOS Information:
- PECOS PAC ID: 9739275850
- Enrollment ID: I20071019000328
Medical Identifiers
Medical identifiers for Snezhana Mullokandov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972635753 | NPI | - | NPPES |
| 02864919 | Medicaid | NY | |
| 242796 | Other | NY | NYS LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 242796 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Snezhana Mullokandov allows following entities to bill medicare on her behalf.
| Entity Name | Nassau Health Care Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902822992
PECOS PAC ID: 2961315221
Enrollment ID: O20040619000043 |
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| Entity Name | Long Island Fqhc, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336669670
PECOS PAC ID: 5991970535
Enrollment ID: O20111212000065 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Snezhana Mullokandov is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Snezhana Mullokandov,
380 Nassau Rd, Long Island Fqhc, Inc,
Roosevelt, NY 11575-1343
Ph: (516) 571-8600 | Snezhana Mullokandov,
380 Nassau Rd, Long Island Fqhc, Inc.,
Roosevelt, NY 11575-1343
Ph: (516) 571-8600 |
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